PINN is an Industrial Rehabilitation therapy provider We have been in business for over 12 years Each PINN Clinic specializes in treating the Injured Worker.

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Presentation on theme: "PINN is an Industrial Rehabilitation therapy provider We have been in business for over 12 years Each PINN Clinic specializes in treating the Injured Worker."— Presentation transcript:

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PINN is an Industrial Rehabilitation therapy provider We have been in business for over 12 years Each PINN Clinic specializes in treating the Injured Worker through a multidiscipline approach with both Physical & Occupational Therapy PINN has a thorough understanding of the industrial rehabilitation needs of the Injured Worker Our PINN Clinics are at least 5,000 square feet in size

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Is a process of measuring an individuals ability to dependably sustain performance in response to broadly defined physical work demands over time

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Evaluate current work tolerances and potential work capacity Provide information to help determine if an individual can return to the usual occupation or perform the work demands of a new job being considered If no vocational goals are established provide guidelines related to the individuals physical capacities to assist with the vocational exploration process Assist the Medical Professional in completing the Attending Physician Form (APF)

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Explain the purpose of the evaluation Collect reliable information Current physical and functional abilities as that relates to vocational considerations Inform the client that they need to participate with: High level of effort Reliability of Pain and Disability Report Do not perform any activity that they perceive to be unsafe

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Usually 1-2 days Determine level of physical effort and reliability of pain and disability report. Evaluator must be objective Should answer the referral sources questions

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First Level PCE- Limited evaluation primarily to measure musculoskeletal components of a specific body part Active range of motion Motor Power Using the 5/5 scale Sensation No less than 45 minutes of actual patient contact OAR (4)(a)

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Second Level PCE This evaluation is to measure general residual function capacity to perform work or provide other general information. Musculoskeletal evaluation To establish Residual Functional Capacities for claim closure No less than two hours of patient contact OAR (4)(b)

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Third Level PCE (WCE)- This is a Residual Functional Capacities evaluation. Musculoskeletal evaluation for a single body part Endurance Assess ability to perform essential physical functions of the job based on a specific job analysis as related to the accepted condition Assess ability to sustain activity over time Assess reliability of the evaluation findings No less than 4 hours of patient contact OAR (4)(c)

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Give brief explanation of what to expect in the evaluation Privacy Communicate Respect Establish Rapport Have tissues and extra pens available

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A Job Site Analysis is a detailed description of the essential and non-essential job tasks/functions and the relevant physical demands to perform the essential and non- essential job tasks. PCE should address the clients demonstrated physical and functional tolerances in relation to essential job tasks and required physical demands.

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Physical Effort Testing concerns to an individuals levels of physical exertion during encountered testing procedures. This type of testing is best evaluated via a multi-facted approach under distraction based clinical conditions. Results of such testing are not intended to imply intent (Kyi, )

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Endurance circuit to determine Frequent Material Handling or Frequent tolerances for work postures Work simulation to determine Frequent or Constant tolerances for work postures Performed in minute increments

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Method-Time Measurement – is a procedure which analyzes any manual operation or method into the basic motions required to perform it and assigns to each motion a predetermined time standard which is determined by the nature of the motion and the conditions under which the motion is made

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MTM - Based on Industry standards which are more reliable in determining suitability to a job Normative - Based on a sample population may be biased by race, gender Percentile scores do not necessarily predict whether or not someone meets industry standards

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Reliability and Validity Assess the various diagnoses of the clients to be seen Can used assess the type of industry near the clinic and the type of work performed Can be used for evaluation or work simulation

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RPDR involves completion of a battery of tests designed to asses the dependability and accuracy of a clients subjective reports of pain and associated disability. The battery includes test which evaluate the presence or absence of non-organic findings as well as tests which compare a clients subjective report to their demonstrate ability through distraction- based clinical observations.

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Use to obtain a subjective rating of perceived ability to perform various household, work and daily activities Use for evaluation of clients with a wide variety of physical limitations Evaluates work function themes Evaluates unrealistic self-perception of ability

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0 = no pain 1-2 = pain is present but not limiting 3-4 = pain is starting to affect your ability to perform current activity 5 = pain causes you to be unable to complete current activity 7 = you cannot use or move the painful area, cant talk, are tearful, need to lie down 10 = requires immediate hospitalization

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Performed during assessment of range of motion, strength and movement patterns

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Performed Pre and Post testing Look for change in movement patterns in comparison to reported pain and disability Look for change in performance time in comparison to reported pain and disability

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The acceptability of the worker in the general sense i.e. worker traits and behaviors The person being evaluated perceives themselves in the worker role and not in the patient role.

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Lack of attention to the evaluator Resistance to testing - voiced refusal or fearful of testing Signs of Anger Descriptions are too explicit or vague No future goals or goals are simple with no detail Want a better doctor to fix them Lack of active control of symptoms

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Regional symptoms that do not make anatomical sense Inactive lifestyle or couch potato Has others perform ADLs/chores Reinforcement of behaviors by others Noncompliance Length of time off work is extensive

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Evaluate Physical effort and RPDR Intervene and confront the evaluee in a respectful manner to attempt to foster physical effort and RPDR Document the PCE to provide functional validity.

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U.S. Department of Labor Dictionary of Occupational Titles, fourth Edition Washington State Labor and Industries Roy Matheson and Associates Department of Consumer and Business Services Workers Compensation Division